MR. JUSTIN DAVID PETRUSAK LMSW
NPI 1316369937
Social Worker - Clinical in Detroit, MI
About Mr. Justin David Petrusak Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JUSTIN DAVID PETRUSAK LMSW (NPI 1316369937) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801090356) and active in the NPI registry since January 2014.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Petrusak's NPI number?
The NPI number for Justin Petrusak is 1316369937. It was assigned to this individual provider in the NPPES registry on January 16, 2014.
Where is Justin Petrusak located?
Justin Petrusak practices at 4756 Cass Ave, Detroit, MI 48201. The listed phone number is (313) 577-4409.
What is Justin Petrusak's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Justin Petrusak was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.